MATERNAL NUTRITION
Maternal Nutrition: Session 1
WHY IS MATERNAL NUTRITION IMPORTANT?
TOPICS TO BE COVERED:
•
•
•
•
1,000 Days Partnership
Scaling Up Nutrition
The Lancet Journal articles on maternal nutrition
Indicators of maternal nutrition and the Nutrition Program Design
Assistant tool
1,000 Days Partnership (Supported by the US Secretary of State and
the Foreign Minister of Ireland):
“…a global effort to jumpstart the implementation of the….”
Scaling Up Nutrition Framework and Roadmap
…which draws upon the evidence presented in….
The Lancet five-part series on Maternal and Child
Undernutrition, January 2008:
“From minus 9 months to 24 months is a window of opportunity
for high impact in reducing death and disease and avoiding
irreversible harm to child development.”
Let’s look at data using the Nutrition Program Design Assistant tool! *
STEP 1 Indicators
• Section C. Maternal Nutrition
NPDA Reference Guide:
http://www.coregroup.org/storage/documents/Workingpapers/NPDA_RefGuide_web.pdf
NPDA Workbook:
http://www.coregroup.org/storage/documents/Workingpapers/NPDA_workbook_web.pdf
Note: Links must be pasted into your web browser rather than clicked on.
NPDA DATASET: DATA FROM A MIX OF DHS AND KPC SURVEYS
MATERNAL NUTRITION
% of women age 18 with at least one childbirth
% National
Level
FILL WITH
YOUR DATA
% of newborn with low birth weight (mother’s report of baby being “very small at birth”
21%
% of non-pregnant women of reproductive age with low Body Mass Index
24%
% of women of reproductive age with anemia
49%
% of women who received iron-folic acid supplements during last pregnancy
59%
% of women who took recommended IFA supplement 90+ days during last pregnancy
10%
% of women who received IPT for malaria during last pregnancy
35%
% of women with 4 or more ANC visits during last pregnancy
35%
% of women with at least one ANC visit during last pregnancy
86%
% of women that consumed one additional serving of staple food during last pregnancy
UNKNOWN
Maternal Nutrition Session 2:
SMALL GROUP WORK:
1. In THREE small groups, each member of the small group
shares one key MATERNAL NUTRITION message that their
project promotes.
2. Repeat until you have a set of at least 3 key messages
3. Group messages according to whether you feel your project
is having MORE or LESS success in achieving the desired
practices
4. Discuss ESSENTIAL ELEMENTS that have contributed to
successful behavior change
5. Discuss OBSTACLES to less successful behavior change
Maternal Nutrition: Session 3
Looking at new IYCF materials with BCC messages:
• UNICEF
http://www.unicef.org/nutrition/index_58362.html
• Essential Nutrition Actions
http://www.coregroup.org/resources/core-tools
• CARE, URC, CHS
• Note: some similarities to UNICEF materials
http://thewindowofopportunity.info/resources
Maternal Nutrition Session 3:
SMALL GROUP WORK:
1. In FOUR small groups, read through the:
• UNICEF IYCF Counseling Card Number 1
• ESSENTIAL NUTRITION ACTIONS Illustration Nos.1, 2,
3 and 4.
2. On flipchart, note any messages on maternal nutrition that
these tools have that would be useful to ADD to your project’s
BCC package of maternal nutrition messages
3. On flipchart, note any focus on PERSONS OF INFLUENCE
in the tools that would be useful to incorporate into your
project’s BCC package of maternal nutrition messages
SUMMARY OF KEY POINTS
TODAY
INTERACTIVE REVIEW
TOMORROW
Maternal Nutrition Session 4:
ESSENTIAL HEALTH SECTOR ACTIONS TO
IMPROVE MATERNAL NUTRITION
IN AFRICA*
1. Adequate food intake during pregnancy and lactation.
2. Adequate micronutrient intake during pregnancy and
lactation.
3. Reduction of malaria infection in pregnant women in
endemic areas.
4. Reduction of hookworm infection in pregnant women in
endemic areas.
5. Birth spacing of three years or longer.
*LINKAGES Project 2001/FHI360; IYCN Project ……/PATH
Maternal Nutrition Session 5:
NUTRITION COUNSELING SKILLS:
• ROLE PLAY !!!!
• Discuss HANDOUT on Positive Counseling Skills from
UNICEF IYCF materials
Nutrition: Session 6
Let’s get
M.A.D. !!!!!!
FFPIB Standard Indicators Handbook:
Pages 31-32
Total children with [(D17=1 OR D18=1) AND ((age in days > 183) AND
(age in days <274) AND (7-food group score > 4) AND (D51 > 2)]
OR
[(D17=1 OR D18=1) AND (age in days > 274) AND (age in days <730)
AND (7-food group score > 4) AND (D51 > 3)]
OR
[(D17=0 OR D18=0) AND (age in days > 183) AND (age in days <730)
AND ((D23 + D25 + D29) > 2) AND (6-food group score > 4) AND
((D23+D25+D29+D51) > 4)]
_________________________________________________________
Total children with [(age in days > 183) AND (age in days < 730)]
MINIMUM ACCEPTABLE DIET INDICATOR
• A “composite” indicator = an indicator
“composed of” several indicators added together
• Adds together indicators which look at the THREE
variables of infant feeding practices:
• Breastfeeding (yes or no)
• FREQUENCY of feeding (number of
times/day by AGE)
• Diet DIVERSITY (number of food groups)
Slide # 7
M.A.D. INDICATOR
WHY????
• FREQUENCY
YES
• AMOUNT
NO
• DENSITY
NO
…………with staple foods……………………
• UTILIZATION / VARIETY YES
• ACTIVE FEEDING
NO
• HYGIENE
NO
“FADUA” or “FATVAH”
Slide # 7
MINIMUM ACCEPTABLE DIET INDICATOR
INDIVIDUAL
INDICATORS
Breastfeeding
status
Frequency of
feeding
Diet diversity
AGE RANGE 6 to 23 MONTHS = DENOMINATOR FOR
COMPOSITE INDICATOR
Yes, breastfed
AGE 6-8 m:
Fed TWO OR
MORE times per
day
Not breastfed
AGE 9-23 m:
Fed THREE OR
MORE times per
day
AGE 6-23 m: Fed FOUR
OR MORE times per day
and TWO must be MILK
Foods from FOUR OR MORE food
groups
(out of 7 food groups)
Foods from FOUR OR
MORE food groups
(out of 6 food groups,
EXCLUDING DAIRY)
Slide # 7
This presentation was made possible by
the generous support of the American
people through the United States Agency
for International Development (USAID).
The contents are the responsibility of
Save the Children and do not necessarily
reflect the views of USAID or the United
States Government.